THE IDENTIFICATION OF THE RELATIONSHIP BETWEEN HEMODIALYSIS PATIENTS’ HOPELESSNESS AND DAILY LIFE ACTIVITIES

Yıl 2023, Cilt: 8 Sayı: 3, 499 - 516, 28.12.2023

Nilhan Töyer Şahin , Seyhan Çıtlık Sarıtaş

https://doi.org/10.47115/jshs.1168433

Öz

Aim: This research aims to identify the relationship between hemodialysis patients’ hopelessness and dependence on another person in daily life activities.
Method: Relational descriptive research; 301 patients who applied to the Nephrology Clinic of the University Hospital and underwent hemodialysis were completed. "Descriptive Characteristics Form, Beck Hopelessness Scale and Katz Daily Living Activity Scale" were used to classify the data.
Result: The average Beck Hopelessness Scale scores of the participating patients was 10.38 ± 5.92. When the BUS score averages and descriptive characteristics (age, marital status, educational status, employment status, income status, presence of chronic disease, duration of dialysis) were compared, statistically significant differences were detected (p <0.05). The average Katz Activities of Daily Living Scale scores of the participating patients was 15.06 ± 3.41. A statistically significant difference was found between the Katz Independence in Activities of Daily Living score averages of the participating patients and their age and educational status (p<0.05).
Conclusions and Suggestions: In this study, the relationship between hopelessness and daily living activities in hemodialysis patients was examined; Regular monitoring of patients' hopelessness and life levels, starting with hopelessness, cutting parameters for the intervals of daily living parts, holistic evaluation of all parameters that increase the degree of limitation in ADL, and planning of all of these as required.

Anahtar Kelimeler

Hemodialysis, Daily Life Activity, Hopelessness, Nephrology

Hemodiyaliz Hastalarında Umutsuzluk İle Günlük Yaşam Aktivitesi Arasındaki İlişkinin Belirlenmesi

Öz

Amaç: Bu araştırmanın amacı, hemodiyaliz hastalarında umutsuzluk ile günlük yaşam aktiviteleri arasındaki ilişkiyi belirlemektir.
Yöntem: İlişkisel tanımlayıcı özellikteki araştırma; Üniversite Hastanesinin Nefroloji Kliniğine başvuru yapan ve hemodiyalize giren 301 hasta ile tamamlandı. Verilerin toplanmasında “Tanıtıcı Özellikler Formu, Beck Umutsuzluk Ölçeği ve Katz Günlük Yaşam Aktivitesi Ölçeği” kullanılmıştır.
Bulgular: Katılımcı hastaların Beck Umutsuzluk Ölçeği puanlarının ortalaması 10,38 ± 5,92 olarak saptandı. BUÖ puan ortalamaları ile tanıtıcı özellikleri (yaş, medeni durum, eğitim durumu, çalışma durumu, gelir durumu, kronik hastalık varlığı, diyalize girme süresi) karşılaştırıldığında istatistiksel olarak anlamlı farklılıklar saptanmıştır (p<0.05). Katılımcı hastaların Katz Günlük Yaşam Aktiviteleri Ölçeği puanlarının ortalaması 15,06 ± 3,41 olarak saptandı. Katılımcı hastaların Katz Günlük Yaşam Aktivitelerinde Bağımsızlık puan ortalamaları ile yaş ve eğitim durumu arasında istatistiksel olarak anlamlı farklılık saptanmıştır (p<0,05).
Sonuçlar ve Öneriler: Hemodiyaliz hastalarında umutsuzluk ile günlük yaşam aktivitesi arasındaki ilişkinin incelendiği bu araştırmada; hastaların umutsuzluk ve yaşam kalitesi düzeylerinin periyodik olarak takip edilmesi, bireylerin umutsuzluk ile baş etme, günlük yaşam aktivitesini yerine getirme yeteneklerini geliştirmeye yönelik uygulamaların oluşturulması, GYA’da kısıtlılığın derecesini arttıran tüm parametrelerin bütüncül değerlendirilip, bireyin bakımının tüm sorunları kapsayacak şekilde planlanması önerilmektedir.

Anahtar Kelimeler

Hemodiyaliz, Günlük Yaşam Aktivitesi, Umutsuzluk, Nefroloji

Kaynakça

• Alaloul, F., AbuRuz, M.E., Moser, D.K., Hall, L.A, Al-Sadi A. (2017). Factors associated with quality of life in Arab patients with heart failure. Scand J Caring Sci, 31 (1): 104-11. https://doi.org/10.1111/scs.12324
• Andrade, S.V., Sesso, R., Diniz, D.H. de MP. (2015). Hopelessness, suicide ideation, and depression in chronic kidney disease patients on hemodialysis or transplant recipients. J Bras Nefrol Orgao Of Soc Bras E Lat-Am Nefrol., 37(1):55–63. doi: 10.5935/0101-2800.20150009.
• Atan, G., Ozer, Z., Turan, G.B., (2020). Assessment of Hopelessness and Perception of Spiritual Care in Cancer Patients. J Contemp Med, 10 (2): 266-274. https://doi.org/10.16899/jcm.649645
• Babur Günaydın, S. & Özdelikara, A. (2022). The Effect of the Spiritual States of Hemodialysis Patients on Their Levels of Hopelessness. Samsun Journal of Health Sciences, 7 (3), 915-926. https://doi.org/10.47115/jshs.1165792
• Başaran, D., Şahin Altun, Ö., Kaban, F., Ecder T. (2016), Evaluation of Hopelessness Levels of Hemodialysis Patients. Journal of Nephrology Nursing, 11(1): 9-16. DOI:10.12996/gmj.2018.49
• Biçer, H., Karabulutlu, E. (2020). Evaluation of Patients Receiving Hemodialysis Treatment for Self-Efficacy Levels and Fluid Control. Journal of Nursing Science, 3 (2) 01-09. https://dergipark.org.tr/tr/download/issue-full-file/59157 Bicer, S., Bayat, M. (2012). Hopelessness and social support levels of individuals receiving dialysis treatment. Fırat Health Services Journal, 7 (19): 1-21. Bilgin, Ö., Özdemir, D., Saçkan, F., Güney, İ. (2020). Determination of Care Dependency Levels of Patients Hospitalized in Nephrology and Oncology Clinics. Journal of General Health Sciences, 1(2):14-23. https://cyprusjmedsci.com/archives/archive-detail/article-preview/nvestigation-of-the-relationship-between-care-depe/50361
• Büyükbayram, Z., Bıçak Ayık, D., Aksoy İl D. (2021). Perceived Social Support and Hopelessness Levels in Hemodialysis Patients/Perceived Social Support and Hopelessness Levels in Hemodialysis Patients. Journal of Nephrology Nursing, 16(3): 134-143. https://doi.org/10.47565/ndthdt.2021.41
• Cengiz, D.U., Sarıtaş, S.Ç. (2019). The effect of ıllness perception on hopelessness level of patients receiving hemodialysis. Turk J Nephrol. 28(4):257-262. https://doi.org/10.5152/turkjnephrol.2019.3477
• Durak, A., Palabıyıkoğlu, R. (1994) Beck hopelessness scale validity study. Crisis Magazine, 2: 311-319. https://doi.org/10.1501/Kriz_0000000071
• Duran, S., Avci D.& Esim, F. (2020). Association Between Spiritual Well-Being and Resilience Among Turkish Hemodialysis Patients. J Relig Health, 59(6):3097-3109. https://doi.org/10.1007/s10943-020-01000-z
• Ercan, F., Demı̇r, S. (2018), Hopelessness and quality of life levels in hemodialysis patients. Gazi Med J. 29(3):169–74. https://doi.org/10.12996/gmj.2018.49
• Erşan, E.E., Kelleci, M., Baysal, B. (2013) An overview of psychosocial adjustment, depression, anxiety and stress levels in cardiac patients. Clinical Psychiatry, 16: 214-24. https://www.researchgate.net/publication/342702937_An_Overview_on_Psychosocial_Adaptation_Depression_Anxiety_and_Stress_Levels_in_Patients_With_Heart_Disease
• Eslami, B., Kovacs, A.H., Moons, P., Abbasi, K., Jackson, J.L. (2017). Hopelessness among adults with congenital heart disease: Cause for despair or hope? Int J Cardiol, 230: 64-9. https://doi.org/10.1016/j.ijcard.2016.12.090
• Güler, S., Terzi, Z., Gündoğan, R. (2022). Investigation of Fatigue, Care Dependence and Affecting Factors in Hemodialysis Patients. NefroHemJournal, 17(3):83-9. https://doi.org/10.47565/ndthdt.2022.57
• Katz, S., Ford, A.B., Maskowitz, R.W., Jackson, B.A., Jaffe, M.W. (1963). Studies of illness in theaged: theindex of ADL: A Standardized Measure of Biological and Psychosocia Function. JAMA, 185: 914-9. https://doi.org/10.1001/jama.1963.03060120024016
• Kılınç, G., Yıldız, E., Kavak F. (2016). The relationship between healthy lifestyle behaviors and hopelessness in patients with heart failure. J Cardiovasc Nurs, 7 (13): 114-26. https://doi.org/10.5543/khd.2016.96158
• Kocalevent, R.D., Finck, C., Trujillo, M.P., Sautier, L., Zill, J., Hinz, A. (2017). Standardization of the beck hopelessness scale in the general population, J Ment Health, 26: 516-22. https://doi.org/10.1080/09638237.2016.1244717
• Kömürcü, C., Kuzu, A. (2020). Posttraumatic Growth in Chronic Kidney Disease. Journal of Nephrology Nursing, 15 (1): 30-36. https://doi.org/10.47565/ndthdt.2020.4
• Küçükberber, N., Özdilli, K., Yorulmaz, H. (2011). Evaluation of healthy lifestyle behaviors and factors affecting quality of life in patients with heart disease. Anadolu Kardiyoloji Dergisi, 11: 619-26. https://doi.org/10.5152/akd.2011.166
• Loo, D.W.Y., Jiang, Y., Koh, K.W.L., Lim, F.P., Wang, W. (2016). Self-efficacy and depression predicting the health-related quality of life of outpatients with chronic heart failure in Singapore. Applied Nursing Research, 32:148-55. https://doi.org/10.1016/j.apnr.2016.07.007
• Özbudak, E., Oksay Şahin, A. (2021). Care Dependency of Hospitalized Elderly Individuals, Their Evaluations Regarding Nursing Care, and the Relationship Between These Situations. Journal of İnönü University Vocational School of Health Services, 9(1);307-322. https://doi.org/10.33715/inonusaglik.835942
• Pehlivanoğlu, E.Ö., Özkan, M.U., Balcıoğlu, H., Bilge, U., Ünlüoğlu, İ. (2016). Adaptation to Turkish and Its Validity and Reliability of Katz Activities of Daily Living Scale for the Elderly. 10. Family Medicine Fall School-Poster. DOI: 1017098/amj.435264
• Religioni, U., Czerw, A., Kozakiewicz, A.M.B., Deptała, A. (2019). Assessment of pain, acceptance of illness, adjustment to life, and strategies of coping with illness among patients with gastric cancer, J Cancer Educ, 10: 2-7. https://doi.org/10.1007/s13187-019-01519-0
• Savaşan, A., Ayten, M., Ergene, O. (2013). Healthy lifestyle behaviors and hopelessness in coronary artery diseases. Journal of Psychiatric Nursing, 4 (1): 1-6, 30. https://doi.org/10.5505/phd.2013.07279
• Son, Y., Song, Y., Nam, S., Shin, W., Lee, S., Jin, D. (2012). Factors associated with healthrelated quality of life in elderly Korean patients with heart failure. J Cardiovasc Nurs, 27 (6): 528-38. https://doi.org/10.1097/JCN.0b013e31823fa38a
• Sungur, G., Tekinsoy, B., Ceyhan, O., Taşçı, S., Şahin, S., Göriş, S. (2009). Home care needs of hemodialysis patients. Journal of Nephrology Nursing, 6: 17-21. https://dergipark.org.tr/en/pub/hemsire/issue/35402/393216
• Turgay, G., Tutal, E., Sezer, S. (2017). Evaluation of Hemodialysis Patients in Terms of Daily Living Activities, Disability, Depression and Comorbidity, Turkish Journal of Nephrology Dialysis and Transplantation, 26 (3): 311-6. DOI: 10.5262/tndt.2017.1003.11
• Turkish Nephrology Association (TND) Kidney Registration System 2021 report, https://nefroloji.org.tr/uploads/files/REGISTRY_2022.PDF.
• Varol, E., Karaca Sivrikaya, S. (2018). Quality of Life and Nursing in Chronic Renal Failure. Journal of Düzce University Health Sciences Institute, 8 (2): 89-96. https://dergipark.org.tr/en/pub/duzcesbed/issue/37762/372075
• Westin, L., Carlsson, R., Erhardt, L., Cantor-Graae E., McNeil, T. (1999). Differences in quality of life in men and women with ischemic heart disease. A prospective controlled study. Scand Cardiovasc J, 33: 160-5. https://doi.org/10.1080/14017439950141795
• Yılmaz, F.T, Sert, H., Karakoç Kumsar, A., Aygin, D., Sipahi, S., Genç, A.B., (2020). Evaluation of Hope Levels, Symptom Control and Treatment Compliance of Patients Receiving Hemodialysis Treatment. Acıbadem University Journal of Health Sciences, 1;35–43. https://doi.org/10.31067/0.2019.197